MILWAUKEE CENTER FOR INDEPENDENCE INC (NPI# 1750326518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750326518 |
Entity Type | Organization |
Organization Name | MILWAUKEE CENTER FOR INDEPENDENCE INC |
Other Organization Name | TLS BEHAVORIAL HEALTH |
Practice Address |
1040 S 70th St Milwaukee WI 53214-3164 |
Mailing Address |
1040 S 70th St Milwaukee WI 53214-3174 |
Practice Telephone | 4144769675 |
Practice Fax Number | 4146150627 |
Mailing Telephone | 4144769675 |
Mailing Fax Number | 4146150627 |
Enumeration Date | 2006-06-17 |
Last Update Date | 2017-02-09 |
Authorized Official Name | HOWARD GARBER (PRESIDENT AND CEO) |
Authorized Official Telephone | 4149372020 |
Is Organization Subpart | Y |
Parent Organization Name | MILWAUKEE CENTER FOR INDEPENDENCE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
Nursing Service Providers | ||
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1933 | WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42128300 | 05 | |
WI | RAILROAD MEDICARE PART B | DD9253 | 01 |
Other Name | Type Code |
---|---|
TLS Behavorial Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710071501 | Milwaukee Center for Independence Inc | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2006-10-03 |
1134142839 | Milwaukee Center for Independence Inc | Pharmacy | 932 S 60th St, West Allis, WI 53214-3369 | 2006-07-25 |
1811280621 | Milwaukee Center for Independence Inc | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2011-05-26 |
Street Address |
1040 S 70TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53214-3164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265868582 | Kristin M Haywood | Social Worker | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2013-09-18 |
1851734743 | John Barsley Pike | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2013-04-10 |
1851638365 | Luz Maria Franklin | Counselor | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2013-01-04 |
1285987263 | Michelle Marie Maltar | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2012-10-16 |
1114225455 | Ruth M Bazelak | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2011-03-10 |
1144528696 | Walter George Schimming Jr. | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2011-03-08 |
1356570501 | Transitional Living Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2009-07-09 |
1457597932 | Geraldine Rebecca Pikalek | Counselor | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2009-01-05 |
1851573836 | Transitional Living Services, Inc | Case Management | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2007-11-30 |
1033302229 | Milwaukee Center for Independence | Community/Behavioral Health | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2007-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
Find all providers in zip 53214 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1962839589 | Shoreview Counseling Services | Clinic/Center | 4950 N 21st St, Lower Level, Milwaukee, WI 53209-5750 | 2013-09-27 |
1952608721 | Community Advocates, Inc | Clinic/Center | 4906 W Fond Du Lac Ave, Milwaukee, WI 53216-2325 | 2011-02-14 |
1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
1639193212 | Horizon Healthcare, Inc | Clinic/Center | 5408 W Burleigh St, Milwaukee, WI 53210-1624 | 2006-07-27 |
1053934034 | Heather Hart Kennedy, Lcsw, LLC | Clinic/Center | 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 | 2020-05-25 |
1033772058 | Different Shades of Healing, LLC | Clinic/Center | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218-3968 | 2019-04-16 |
Find all providers in MILWAUKEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.